UNIT 7 Doctor-patient Relationship Teaching ObjectivesAfter learning Unit 7, Ss are expected to accomplish the following objectives:Professio nal knowledg eTo have deep insights into the shift from paternalistic paradigmtopatient-centered paradigm in medical decision-makingTo be aware of the importance of a good doctor-patientrelationship in both the medical practice and thepatient’s recoveryTo have a clear understanding of what counts in maintaininganamicable doctor-patient relationshipTo learn how to communicate properly and effectively with the patientTo be well acquainted with such concepts as paternalistic approach and patient-centered or autonomous approach to medical decision-makingTo know how to shift from a paternalistic decision-making process to a patient-centered oneReading To understand the patient’s attitude toward patientempowerment/ autonomy and its role in doctor-patient relationshipTo be aware of the power of words when communicating withtheTeaching Activities and ResourcesPart 1 ReadingText ALead-inSuggested teaching plan1. Doctor-patient relationship is among the most controversial focuses and mostwidely talked about in medical and healthcare communities. It is a determinant factor of quality care. On the part of language, words are sometimes value-laden and possess magic power. The same relationship can be differently connoted by using different terms. Before starting the class, it is advisable to know the implications of these terms: doctor, physician, medical practitioner, provider and patient, client, customer.Doctor: referring to a “teacher ” to show, to teach, or to appear right, and carryinga connotation of being seemly fitting and decentPhysician: denoting a practitioner of the art of healingMedical practitioner: a technique term without much connotationProvider: a generic term more or less related to businessPatient: indicating a suffering or sick person under medical treatmentClient: referring to a person who is willing to pay for goods or servicesCustomer: denoting one who buys goods or servicesAwareness of the subtleties as incurred by the use of the different terms to indicate the doctor-patient relationship will contribute to a better understanding of the characteristics of an amicable and ideal doctor-patient relationship.2. Lead Ss to do Task / Lead-in .1) Ask Ss to think of at least three different situations where doctors may beasked to make “tough decisions ” for their patient s.Decide whether life-support system should be continued or withdrawn.Decide whether euthanasia should be taken into consideration.Decide whether a new therapy should be tried.Decide whether surgery should be the first choice or the last resort.Decide whether transfer or referral is needed.2) Have a quick check and a short discussion on what Ss have come up with.3. Make a summary on the discussion and introduce the topic of Text A.Text ComprehensionSuggested teaching plan1. Launch the topic of the text as a continuum of Lead-in.2. Analyze the text and lead Ss to discuss, integrating Task 2 / Critical readingand thinking / Text A into analysis and discussion. The presentation topics should be assigned to individual Ss for preparation at least one week in advance.Ask other Ss to preview the text with the guidance of the presentation topics.3. Lead Ss to do Task 2 / Language building-up / Text A after a discussion of thetext.4. When analyzing the text, ask Ss to pay special attention to the sentences listed inLanguage focus below.5. If time allows, ask Ss to do Task 1 / Critical reading and thinking / Text A inabout five minutes. Check out the task by asking one or two Ss to read their answers. This is done to get an overview about the text.Language focus1. He was large and powerfully built…miraculously shrinking down to theireye level whenever he spoke with them. (P164, Para. 1)句子运用了对比的手法(large and powerfully built / shrink down to their eye level)，有利于加强文章的艺术效果和感染力。
